LAROCHE FAMILY FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LAROCHE FAMILY FOUNDATION (EIN 71-0944751)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-12
- IRS object ID
- 202231339349102513
- Schema version
- 2021v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Gain Loss Sale Other Assets Sch
- Gain Loss Sale Other Assets Sch
- Gain Loss Sale Other Assets Sch
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T15:11:50-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLAUDIA H SHERER CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1907 WINDSOR STREET | AddressLine1Txt |
| City | MURFREESBORO | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710944751 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAROCHE FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LARO | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2103 SHANNON DRIVE | AddressLine1Txt |
| City | Murfreesboro | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 371291334 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GLORIA LAROCHE | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 6153904911 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GLORIA | PersonFirstNm |
| Person Last | LAROCHE | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CLAUDIA H SHERER C | PreparerPersonNm |
| PTIN | P00313113 | PTIN |
| Phone | 6158961030 | PhoneNum |
| Preparation | 2022-05-12 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $686,945 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $612,493 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $15,737 | InterestOnSavRevAndExpnssAmt |
| Net Gain Sale Ast Rev And Expnss | -$640 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $564,183 | GrossSalesPriceAmt |
| Total Rev And Expnss | $627,590 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $737 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $737 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $737 | AccountingFeesChrtblPrpsAmt |
| Interest Rev And Expnss | $224 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $224 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $224 | InterestDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $961 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $961 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $961 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $437,307 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $437,307 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $438,268 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $961 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $438,268 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $189,322 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | -$35,919 | CashBOYAmt |
| Cash EOY | $133,820 | CashEOYAmt |
| Cash EOYFMV | $133,820 | CashEOYFMVAmt |
| Acct Rcvbl | $585 | AcctRcvblAmt |
| Acct Rcvbl BOY | $3,528 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $585 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $585 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $532,228 | CorporateStockBOYAmt |
| Corporate Stock EOY | $579,754 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $552,540 | CorporateStockEOYFMVAmt |
| Total Assets BOY | $499,837 | TotalAssetsBOYAmt |
| Total Assets EOY | $714,159 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $686,945 | TotalAssetsEOYFMVAmt |
| Loans From Officers EOY | $25,000 | LoansFromOfficersEOYAmt |
| Total Liabilities EOY | $25,000 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $499,837 | RetainedEarningBOYAmt |
| Retained Earning EOY | $689,159 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $499,837 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $689,159 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $499,837 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $714,159 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $499,837 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $189,322 | ExcessRevenueOverExpensesAmt |
| Subtotal | $689,159 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $689,159 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|
| 5000 SHS NHC PUBLICALL TRADED STK | $340,604 | $340,604 | ||
| 650 SHS NHI PUBLICALLY TRADED STK | $47,669 | $47,669 | ||
| 3750 FB FINL CORP PUBICALLY TRADED STK | $175,910 | $176,550 | -$640 | -$640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -$640 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | -$640 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | false | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | TN | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (true) | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Individual With Books | RICHARD F LAROCHE | IndividualWithBooksNm |
| Phone | 6158938490 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2103 SHANNON DR | AddressLine1Txt |
| City | MURFREESBORO | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37129 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| RICHARD F LAROCHE | ||||||
| 2103 SHANNON DR | MURFREESBORO | TN | 37129 | TRUSTEE | 0 | $0 |
| GLORIA LAROCHE | ||||||
| 2103 SHANNON DR | MURFREESBORO | TN | 37129 | TRUSTEE | 0 | $0 |
| DAVID LAROCHE | ||||||
| 1728 WALKING DR | MURFREESBO | TN | 37130 | TRUSTEE | 0 | $0 |
| ASHLEY L HEEREN | ||||||
| 327 LAUDERDALE RD | NASHVILLE | TN | 37205 | TRUSTEE | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $518,601 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $29,362 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $547,963 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $547,963 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $8,219 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $539,744 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $26,987 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $26,987 | MinimumInvestmentReturnAmt |
| Distributable Before Adj | $26,987 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $26,987 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $26,987 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $438,268 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $438,268 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $26,987 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $296,785 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $261,449 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $450,654 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $467,504 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $305,292 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,781,684 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $438,268 | QualifyingDistributionsAmt |
| Applied To Current Year | $26,987 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $411,281 | RemainingDistriFromCorpusAmt |
| Total Corpus | $2,192,965 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $296,785 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,896,180 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $261,449 | ExcessFromYear4Amt |
| Excess From Year3 | $450,654 | ExcessFromYear3Amt |
| Excess From Year2 | $467,504 | ExcessFromYear2Amt |
| Excess From Year1 | $305,292 | ExcessFromYear1Amt |
| Excess From Current Year | $411,281 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | RICHARD F LAROCHE | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2103 SHANNON DR | AddressLine1Txt |
| City | MURFREESBORO | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37129 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 6153904911 | RecipientPhoneNum |
| Form And Info And Materials | OPEN LETTER WITH A REQUEST | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NONE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (23 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ELEPHANT SANCTUARY | ||||||
| 27 E MAIN ST | HOHENWALD | TN | 38462 | NON PR | GENERAL FUND | $50 |
| TENNESSEE GREEN | ||||||
| 1213A 16TH AVE | NASHVILLE | TN | 37212 | NON PR | GENERAL FUND | $11,166 |
| UNITED WAY | ||||||
| P O BOX 330056 | MURFREESBORO | TN | 37133 | NON PR | GENERAL FUND | $10,000 |
| SMITHSONIAN | ||||||
| P O BOX 37012 MRC 712 | WASHINGTON | DC | 20013 | NON PR | GENERAL FUND | $1,000 |
| SO CUMBERLAND COMM FOUN | ||||||
| 322 W MAIN ST | MONTEAGLE | TN | 37356 | NON PR | GENERAL FUND | $250 |
| HARDING ACADEMY | ||||||
| 170 WINDSOR DR | NASHVILLE | TN | 37205 | NON PR | GENERAL FUND | $40,000 |
| MOTE MARINE LAB | ||||||
| 1600 KEN THOMPSON PKWY | SARASOTA | FL | 34236 | NON PR | GENERAL FUND | $125 |
| NASHVILLE REPOR THEATRE | ||||||
| 161 RAINS AVE | NASHVILLE | TN | 37203 | NON PR | GENERAL FUND | $750 |
| MOMA | ||||||
| 11 WEST 53 STREET | NEW YORK | NY | 10019 | NON PR | GENERAL FUND | $100 |
| CASA OF RUTHERFORD CO | ||||||
| P O BOX 3135 | MURFREESBORO | TN | 37133 | NON PR | GENERAL FUND | $250 |
| CHILDRENS DISC MUSEUM | ||||||
| 502 SE BROAD ST | MURFREESBORO | TN | 37130 | NON PR | GENERAL FUND | $25,000 |
| CHILD ADVOCACY | ||||||
| 1040 SAMSONITE BLVD | MURFREESBORO | TN | 37129 | NON PR | GENERAL FUND | $2,250 |
| AM MUSEUM NATIONAL HIS | ||||||
| 200 CENTRAL PARK WEST | NEW YORK | NY | 10024 | NON PR | GENERAL FUND | $300 |
| ISAIAH 117 | ||||||
| P O BOX 842 | ELIZABETHTON | TN | 37644 | NON PR | GENERAL FUND | $250 |
| HAITI OUTREACH MINISTRY | ||||||
| P O BOX 942 | MATTHEWS | NC | 28106 | NON PR | GENERAL FUND | $1,000 |
| CHARITY CIRCLE | ||||||
| P O BOX 11128 | MURFREESBORO | TN | 37129 | NON PR | GENERAL FUND | $3,631 |
| AMERICAN HEART ASSOC | ||||||
| 1818 PATTERSON ST | NASHVILLE | TN | 37203 | NON PR | GENERAL FUND | $2,500 |
| MLK SCHOLARSHIP | ||||||
| P O BOX 331382 | MURFREESBORO | TN | 37133 | NON PR | GENERAL FUND | $500 |
| OAKLAND HISTORIC MUSUEM | ||||||
| P O BOX 432 | MURFREESBORO | TN | 37133 | NON PR | GENERAL FUND | $1,650 |
| DARTMOTH UNIVERSITY | ||||||
| 6066 DEVELOPEMENT OFFIC | HANOVER | NH | 03755 | NON PR | GENERAL FUND | $2,450 |
| UNIVERSITY OF SOUTH | ||||||
| 735 UNIVERSITY WAY | SEWANEE | TN | 37383 | NON PR | GENERAL FUND | $275 |
| BOY SCOUTS OF AMERICA | ||||||
| 3414 HILLSBORO PK | NASHVILLE | TN | 37214 | NON PR | GENERAL FUND | $2,500 |
| LINEGAUGH LIBRARY | ||||||
| 105 W VINE ST | MURFREESBORO | TN | 37130 | NON PR | GENERAL FUND | $400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $437,307 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $15,737 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | -$640 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $15,097 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $15,097 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|
| TED AND GLORIA LAROCHE | ||||||
| 1 | 2103 SHANNON DR | MURFREESBORO | TN | 37129 | $435,943 | Yes (X) |
| LAROCHE FAMILY LTD PARTNERSHIP | ||||||
| 2 | 2103 SHANNON DR | MURFREESBORO | TN | 37129 | $176,550 | Yes (X) |
Non Cash Property Contribution NonCashPropertyContributionGrp (3 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | 1300 SHS OF NHI STOCK | $95,339 | 2021-04-30 |
| 1 | 5000 SHS NHC STOCK | $340,604 | 2021-12-31 |
| 2 | 3750 FIRST BANK STOCK | $176,550 | 2021-11-16 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | STOCK | AssetDesc |
| Acquired | 2021-04 | AcquiredDt |
| How Acquired | DONATED | HowAcquiredTxt |
| Sold | 2021-04 | SoldDt |
| Gross Sales Price | $47,669 | GrossSalesPriceAmt |
| Basis | $47,669 | BasisAmt |
| Basis Method | DONATED VALUE | BasisMethodTxt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | STOCK | AssetDesc |
| Acquired | 2021-12 | AcquiredDt |
| How Acquired | DONATED | HowAcquiredTxt |
| Sold | 2021-12 | SoldDt |
| Gross Sales Price | $340,604 | GrossSalesPriceAmt |
| Basis | $340,604 | BasisAmt |
| Basis Method | DONATED VALUE | BasisMethodTxt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | STOCK | AssetDesc |
| Acquired | 2021-11 | AcquiredDt |
| How Acquired | DONATED | HowAcquiredTxt |
| Sold | 2021-11 | SoldDt |
| Gross Sales Price | $175,910 | GrossSalesPriceAmt |
| Basis | $176,550 | BasisAmt |
| Basis Method | DONATED VALUE | BasisMethodTxt |